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Transfer of Extensor Carpi Radialis Longus or Brevis for Opponensplasty

From the Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea

Correspondence: Moon Sang Chung MD, Department of Orthopedic Surgery, Seoul National University Hospital, 28 Yongon-Dong, Chongno-Gu, Seoul 110–744. Korea. E-mail: ghbaek{at}plaza.snu.ac.kr

For the restoration of thumb opposition many types of tendon transfer techniques have been described. The flexor digitorum superficialis (FDS) of the ring finger is commonly selected as a motor. On occasion, however, the quality of the flexor muscles of the fingers or wrist is not good enough for tendon transfer and another available muscle must be selected. In this situation, we have preferred to use an extensor carpi radialis longus (ECRL) or brevis (ECRB) transfer to restore opposition of the thumb. Follow-up examination, at an average 5 years and 10 months after operation, showed that the results of ten of 11 transfers were excellent and the other was good.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 1, 50-53 (1999)
DOI: 10.1016/S0266-7681(99)90027-X


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